Paradise Residential Senior Care 4

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Caregiver Rosa Perea. Administrator (AD) Rosa Angelica Reyes arrived shortly after. For today’s visit, LPA observed a total of four residents in care and two staff members on duty. LPA observed the facility administrator (AD) certificate for Rosa Angelica Reyes which expires on April 11, 2028. LPA observed that the PUB475 "See Something, Say Something" poster was posted in the hallway by the living room. LPA Ramirez toured the interior and exterior portions of the facility with AD Reyes. The facility is a two-story structure and is licensed for six non-ambulatory residents, of which six may be on hospice and zero bedridden. There are a total of seven bedrooms of which three are for residents. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of four restrooms, two of which are for residents' use. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested 108.5 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged and located by the kitchen. The fire extinguisher was last serviced on July 6, 2026. CONTINUED ON LIC809-C... LPA Ramirez observed the emergency disaster and evacuation plan, which is located by dining room. Licensee was advised to use the updated Emergency Distaste Plan (LIC610E) version dated December 2025. Facility had back-up emergency food and water supply located in the garage. LPA observed that First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. The medications are locked in a closet by the residents' bedroom hallway. For the exterior portion, LPA Ramirez observed a shaded area, patio furniture, and the grounds were free of any hazards. There is one gate in the backyard, which both is self-closing and self-latching. No bodies of water were observed. LPA reviewed four resident files and two staff files. LPA interviewed residents and staff present. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Reyes. A copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, Aug 26, 2026

Type of visit: Required - 1 Year

On this day Licensing Program Analyst (LPA) William Vanegas conducted an unannounced visit in order to complete an annual inspection. Upon arrival LPA Vanegas was greeted and granted entry by Care Giver (CG) Gerardo Contreras. LPA Vanegas explained the purpose of the visit, set up equipment and Administrator (AD) Alex Mathews joined the visit a few moments after LPA's arrival. LPA Vanegas began a tour of the facility and observed the following. This is a two storied home with eight bedrooms five of which are used for staff on duty, and three of which are used for residents in care; these are shared rooms for residents. The facility also has three shared bathrooms as well. LPA Vanegas observed kitchen area to be clean and free of any mildew and debris. LPA Vanegas observed a two-day supply of perishable food, and a seven day supply of non-perishable food on hand, as well as a sufficient amount of emergency water. LPA Vanegas observed a refrigerator, gas stove, dishwasher, microwave, washer, and dryer all appeared to be in good repair, and tested operational. LPA Vanegas observed all resident rooms to have required furnishings such as a bed, clean linens in good repair; meaning no strains or tares, chest drawers, and enough storage space to store personal belongings. LPA Vanegas observed all rooms to be large enough to walk about freely in their rooms, and no obstructions were observed blocking entry ways. LPA Vanegas observed all resident restrooms to be clean and free of any mildew or debris, LPA Vanegas observed water faucets, and toilets to be operational, restrooms had all required furnishings such as grab bars, slip resistant floor matts, and shower chair. Water temperature tested between 111.2 and 111.5 degrees. CONTINUED ON LIC809C LPA Vanegas observed all fire extinguishers to be fully charged, and up to date. LPA Vanegas observed all smoke and carbon monoxide detectors to be in good repair, and tested operational. LPA Vanegas observed first aid kit to have all required items such as bandages, tweezers, scissors, adhesive tape, a thermometer, and a first aid manual. LPA Vanegas observed the outside of the facility, and observed a large backyard with an outdoor shaded sitting area, no obstructions were observed to be along the exit routes, side doors are self latching and unlocked. Front yard is clean, and no obstructions or debris were noted a long the walkways or the entry ways of the facility. LPA Vanegas reviewed three staff files, and six resident files, all files (Staff and Resident) had all required files documented correctly, and annual staff training is up to date and documented. LPA Vanegas reviewed medications with AD and observed all medications to be documented correctly, and being administered per physicians orders. Based on observations made during today's inspection no deficiencies will be cited per title 22 chapter 8 division 6 of the California Code of Regulations. An exit interview was conducted and with AD Alex Mathews and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Aug 12, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA met with Administrators Johan Mathews and Diana Manzano and explained the reason for the visit. Course work for both administrators were verified during the visit and is pending certification with the Department. The facility is a two story structure located in a residential neighborhood. Facility is licensed to operate for six (6) non-ambulatory and maintains a hospice waiver for six (6). There are six residents in care during today's visit of which two are in hospice. Two caregivers are on duty during the visit. LPA observed the facility to be clean and sanitary. There are three resident bedrooms and two resident bathrooms on the first floor. The second floor consists of three staff bedrooms and a living room which is only utilized by two staff. There are two staff bathrooms on the second floor. All common areas were inspected including the attached two car garage. The residents' bedrooms were appropriately furnished. Beds and bedding supplies were in good condition, adequate lighting was provided, sufficient storage space for personal belongings were observed. Bathrooms were found to be in compliance, clean, and operational. The water temperature measured at 108.6 and 109.2 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. LPA observed the outdoor passageway free of obstruction. The exit gate was self-closing and self-latching. LPA observed sufficient seating and shading. Facility maintains two fire extinguishers one on each floor. Both were charged, and serviced on July 1, 2024. The auditory devices and dual-functioning smoke/carbon monoxide detectors were tested and operational on both floors. LPA observed the emergency disaster supplies including food/water in the garage. Emergency evacuation drills are being conducted. The first aid kit contains all necessary elements. LPA observed the required 'See Something, Say Something' (PUB475) poster in the correct size. LPA conducted an audit of six residents' files and two personnel files. No discrepancies were noted. Staff and resident interviews were conducted. Medications were audited for six residents. No discrepancies noted. Based on the observations made during today's visit, no deficiency is being cited today. An exit interview was conducted with Administrators Johan Mathews and Diana Manzano, and a copy of this report was provided at the end of the visit.the state’s words, verbatim · CDSS document, Aug 28, 2024